RecruitingNot ApplicableNCT06122246

PRESSURE CHECK: Find Your Path to Better Health

Sponsor

Yale University

Enrollment

1,440 participants

Start Date

Apr 14, 2024

Study Type

INTERVENTIONAL

Conditions

Blood Pressure

Summary

This study seeks to develop the evidence for a sustainable, community-partnered, multi-level health system strategy to improve blood pressure control. Two team-based approaches are being tested: 1) a medical model of remote BP management (RBPM) alone, and 2) RBPM plus a social model with a community health worker (CHW). These 2 strategies are being compared with a standard community screening program with referral to primary care.

Eligibility

Min Age: 18 Years

Inclusion Criteria1

Elevated BP, defined as an average resting BP of \>=135/85 mmHg based on 3 consecutive blood pressure readings

Exclusion Criteria3

People who are pregnant or who plan to become pregnant in the next 6 months at study entry
Those that have end stage renal disease on dialysis
People receiving active chemotherapy

Interventions

BEHAVIORALCommunity Health Worker (CHW)

Participants will receive the additional support of a Community Health Worker (CHW); specific activities include: support with home BP monitoring, reminders to attend RBPM clinical visits, and support with social issues impacting health (e.g., food insecurity; transportation; housing instability).

OTHERRemote Blood Pressure (BP) Management Program (RBPM)

Participants will receive a medical model of remote BP management (RBPM). Care is guided by protocols based on ACC/AHA High Blood Pressure Guidelines. This may include medications and/or lifestyle modifications, as is clinically indicated and personalized to each participant using principles of shared decision making.